CMS
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Is CMS Still Approving Zero Waiver MSAs?
by D. Dietz For our final knowledge series webinar on Medicare Secondary Payer Compliance, we discussed whether CMS is still approving Zero Waiver MSAs as well as Medical Zero MSAs....
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To Submit or Not Submit: Exploring Facts Around Non Submit MSAs
Yesterday, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we discussed the Centers for Medicare & Medicaid Services (CMS) submission process and the...
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Exploring Different Processes for Medicare Liens: Parts A, B, C, and D
P. Czuprynski Earlier in March, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we reviewed the different search and collection processes for Medicare Parts...
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CMS Announces New Mailing Address for CRC Correspondence
Effective March 13, the mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence has changed. After March 13, use the following mailing address when corresponding with...
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CMS Extends Timeline for Publication of Final Rule for Section 111 Civil Monetary Penalties by One Year
by B. Smith On the three year anniversary of the Section 111 Proposed Rule for Civil Monetary Penalties (CMPs) the Centers for Medicare & Medicaid Services (CMS) filed a notice...
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CMS Issues Memo on MSP Obligations When Settling Alleged Exposure Claims
by B. Smith On January 20, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a memo entitled Medicare Secondary Payer (MSP) Obligations and Settlements Related to Alleged Exposure...
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CMS Publishes NGHP User Guide Version 7.0
by F. Fairchok CMS published an update to the NGHP User Guide on January 9, 2023. In addition to several minor updates, Version 7.0 announced a new Unsolicited Response File...
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Medicare Advantage Plans: PAID ACT – Year One
by P. Czuprynski Carriers and self-insureds, or their vendors, have the ability to ask Medicare if a particular claimant is enrolled in Medicare benefits through either an electronic data request or...
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CMS Will Maintain $750 Recovery Threshold for 2023
The Centers for Medicare & Medicaid Services (CMS) is required to publish an annual threshold for recovery each year. This threshold amount reflects an amount for which CMS will...